1987, 06-02 Permit App: 87001582 Garage_
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
r
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same. All provisions of laws and
ordinances governing this type of work will be complied with whether specified herein or not. I understand that the issuance of this permit and any subsequent inspection
approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, or as a
warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT DATE= PA is
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SITE I. ......±..:I:E•T:::: 14324 E LONGFELi..(:OW AVE
ADDRESS= SPOKANE Wiry 99216
PERMIT DETACHED GARAGE
PARCEL4= 02542-2305
PE..ri_(.;±::: 002644 PLAT NAME= i E•IRfIE.lP & F :[ i•ZE'r=i i F'tI:€::K ' _ SUB,
,
AREA=BLOCK
' 000 00000 i- %r: = I:: WIDTH= 4.. DEPTH= 124 R/W= .,
OWNER= 1:1:NLG; MICHAEL E::.:
STREET= 14324 E LONGFELLOW AVE
ADDRESS= SPOKANE WA 99216
509
.t.., i:}''i=: 6981
CONTACT NAME=
i ., ..... i _I i . � PHONE N i_± I'1 E:i i:. ±•; =+>,i `.v5 .... s j� 8 4 .... i 6 1 S:%
BUILDING SETBACKS: FR! i ! t' LEFT=3 RIGHT— REAR= 3
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REVIEW a:NF:!_ !• MA i..!.!s'2
DEPARTMENT NAME REVIEW COMMENTS
---------------
--------
ENVIRONMENTAL HEALTH H ±.i' t F:'{:: A E IN LOT COVERAGE
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DATE
INITIALS
.............
--------
80602 GGM
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CONTRACTOR= MY FAMILY CONTRACTOR
STREET= P 0 BOX 297
ADDRESS= SPOKANE WA i 99x:) .'5
PHONE= 509 226 3509
NEW= :x REMODEL= ADDITION= !. F'It iP4(:.;I::. USE=
J)±,,ii:::i._E.. UNITS= i (:ii::i::±.iP:. I...J;::- BLDG I•iG.l.:::: STORIES=
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REO i'i Pr::iR±';.i:i,!t Y.... .v' I -i P'i r4! Ta .[ !: r`i P :::: SEWER= N
PROCESSED I::.1) .: Y : `tri,: Cto' DL.!, L,!..fi: t.!4... •' ..i'•.
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(THIS IS.NOTA PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE
Owner's Name
LAST
in
FIRST
'C_/
MI
Project Number
ProjectctAddress (Street Name 8, Number)
%SIG
Applicant
0
City
State
Zip
Zip
Address
Phone
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Contractor/Agent
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Q.H,t, ( e / e d Y
State
Zip
lr( o�Ca
Business Phone
Address
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Architect/Engineer
City
Contact
State
Phone
(56,r 3 - et'®ic
Business Phone
Address
Lender
City
State
Zip
Phone
Business Phone
Address
Phone
Show on Site Plan: Additional Information:
�-,Lot Dimensions Landscaping
existing Structures Drainage Plan
//Proposed Improvements Hydrants
Structure Setbacks Topography
:Easements Lighting
,/Septic System (s) Signage
-4-
,Vater Lines Shorelines
--------
Sewer Lines-
Highwater Mark
,-Fences, Wells
- ------
bgriveway(s)
. ........
-- --------
Right of Way Width(s)
I
Names of
PFionting Street
Flanking Street
— —
;_
{
Legal Description
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Sole:
Date:
Revisions: Attachments:.
DEPARTMENTAL REVIEW
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
Owner's Signature Date
Approved
p
Appprrovov al
Hold
Environmental Health Permit Number
W. 1101 College
Room 200
Planning/Zoning
N. 721 Jefferson
Permit Number
Engineers
N. 811 Jefferson
Utilities
N. 811 Jefferson
Plan Review/Fire Prevention
N. 811 Jefferson
Other (SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Project Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent is true, correct, legal, and binding.
Owner's Signature Date